Individual provider Active NPI

Wilhelmina Christine Victor, RCP, NC

  • Nutrition Education Nutritionist
  • Mill Valley, CA
National Provider Identifier
1679880587
Registry record updated Sep 13, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nutrition Education NutritionistTaxonomy code 133NN1002X
Practice address
600 Miller Ave
Mill Valley, CA 94941-2990
Phone
(415) 388-8101
Fax
(415) 388-8209
NPI assigned
Sep 13, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 13, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nutrition Education Nutritionist 133NN1002X CA Primary
Certified Respiratory Therapist 227800000X 7679 CA

Addresses

Primary practice location

600 Miller Ave
Mill Valley, CA 94941-2990

Mailing address

600 Miller Ave
Mill Valley, CA 94941-2990
Phone (415) 388-8101

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1284336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1284336000000",
    "number": "1679880587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 MILLER AVE",
            "city": "MILL VALLEY",
            "state": "CA",
            "postal_code": "949412990",
            "telephone_number": "415-388-8101",
            "fax_number": "415-388-8209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 MILLER AVE",
            "city": "MILL VALLEY",
            "state": "CA",
            "postal_code": "949412990",
            "telephone_number": "415-388-8101",
            "fax_number": "415-388-8209"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VICTOR",
        "first_name": "WILHELMINA",
        "middle_name": "CHRISTINE",
        "name_prefix": "Mrs.",
        "credential": "RCP, NC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-09-13",
        "last_updated": "2010-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133NN1002X",
            "taxonomy_group": "",
            "desc": "Nutritionist, Nutrition, Education",
            "state": "CA",
            "license": null,
            "primary": true
        },
        {
            "code": "227800000X",
            "taxonomy_group": "",
            "desc": "Respiratory Therapist, Certified",
            "state": "CA",
            "license": "7679",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mill Valley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.